THOMAS ANTHONY BAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

ANTHONY

Last Name

BAKER

Business Name

THOMAS ANTHONY BAKER MD

Original Issue Date

03/03/2011

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020